Finance & Revenue Cycle Worcester, Massachusetts Worcester, Massachusetts


Position at UMass Memorial Health

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.

Requisition #: 222651

Location: UMass Memorial Medical Center
Posting Date: 1/7/2022
Shift: Days
Status: Exempt
Shift Length: 8
Position Summary:
Under general guidance and direction, the Edit Application & Charge Router Coordinator (ACC) participates in the design, build and maintenance of the application for the professional business office and is required to gain an in-depth knowledge of the application. The incumbent will be a member of a team which is responsible for rule building, table and content maintenance, report writing, upgrade support and testing.
The ACC will be knowledgeable about organizational policies, procedures and business operations, and the area of business they are representing and the functionality available in the application.
Major Responsibilities:

  • The ACC serves on the team that designs, builds and validates the processes for their respective application(s).
  • Assists in building new data sets and testing of new functionality.
  • Works collaboratively with all Professional Billing (PB) areas (Accounts Receivable, Charge Review, Charge Entry, etc.) to develop and/or review edits and charge router logic, to address denials, new payer policies, CPT/ICD10 Revisions, Additions and Deletions, and any other changes that affect payments.
  • Documents current and new workflows, rules and/or edits.
  • Works with the appropriate subject matter experts in design, build and testing of functionality.
Position Qualifications:
  • Bachelor's degree in Business Sciences, Health Sciences or in Information Systems.
  • Certified Professional Coder.
  • Two years operational or clinical experience in an area related to Professional Billing.
  • Demonstrated proficiency with information systems technology.
  • Demonstrated knowledge of revenue cycle management.
  • Demonstrated workflow process analysis and design.
  • Strong communication and interpersonal skills.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Standards of Respect: